| National Provider Identifier [NPI]: | 1699793471 |
| Last Name Of The Provider | FOX |
| First Name Of The Provider | PARHAM |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 113 NATIONWIDE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | LYNCHBURG |
| Zip Code Of The Provider | 245024272 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 183 |
| Number Of Services | 24324 |
| Number Of Medicare Beneficiaries | 4894 |
| Total Submitted Charge Amount | 907430.36 |
| Total Medicare Allowed Amount | 344427.43 |
| Total Medicare Payment Amount | 251804.3 |
| Total Medicare Standardized Payment Amount | 257940.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 16701 |
| Number Of Medicare Beneficiaries With Drug Services | 177 |
| Total Drug Submitted ChargeAmount | 6012.36 |
| Total Drug Medicare AllowedAmount | 3107.51 |
| Total Drug Medicare PaymentAmount | 2435.94 |
| Total Drug Medicare Standardized Payment Amount | 2435.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 7623 |
| Number Of Medicare Beneficiaries With Medical Services | 4893 |
| Total Medical Submitted Charge Amount | 901418 |
| Total Medical Medicare Allowed Amount | 341319.92 |
| Total Medical Medicare Payment Amount | 249368.36 |
| Total Medical Medicare Standardized Payment Amount | 255504.8 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 886 |
| Number Of Beneficiaries Age 65 to 74 | 1707 |
| Number Of Beneficiaries Age 75 to 84 | 1460 |
| Number Of Beneficiaries Age Greater 84 | 841 |
| Number Of Female Beneficiaries | 2838 |
| Number Of Male Beneficiaries | 2056 |
| Number Of Non Hispanic White Beneficiaries | 3859 |
| Number Of Black or African American Beneficiaries | 969 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3469 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1425 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7292 |